Lost Lives Through Weight Loss

Lost Lives Through Weight Loss



Lost Lives Through Weight Loss
Thousands of​ patient records had been reviewed and yielded an alarming discovery about a​ previously unknown risk associated with a​ popular weight loss operation Suicide in​ bariatric surgery. Bariatric surgery is​ a​ complex surgical procedure concerned with causes,​ prevention and treatment of​ severe overweight known as​ obesity. Bariatric operations are major gastrointestinal procedures which alter the​ capacity and/or the​ anatomy of​ the​ digestive system. in​ simple terms,​ the​ stomach is​ made smaller so as​ to​ speed up weight loss. Some bariatric procedures are performed using general anesthesia via a​ midline abdominal incision. Another method is​ to​ use laparoscopic surgical techniques,​ involving smaller instruments connected to​ cameras through which they view the​ operational site.
There are two types of​ bariatric surgeries
1. Restrictive This type of​ surgical procedure simply reduces the​ size of​ the​ stomach,​ using staples and/or a​ band,​ resulting in​ a​ drastic reduction in​ the​ quantity of​ food it​ can ingest.
2. Combined Restrictive and Malabsorptive This type of​ surgical procedure reduces stomach capacity and bypassing the​ upper part of​ the​ small intestine,​ causing a​ reduction in​ the​ number of​ calories and nutrients which the​ body absorbs.
In bariatric surgery,​ most studies show that the​ risk of​ dying is​ about 1%,​ and complications strike up to​ 40 % of​ obese patients. Aside from being overweight,​ these patients usually have health problems,​ such as​ diabetes and heart disease,​ thats why its no wonder they also have higher death rates from natural causes.
However,​ nearly 17,​000 weightloss surgeries performed in​ Pennsylvania from 1995 to​ 2004 had been reviewed and the​ findings were startling. Out of​ the​ 440 deaths in​ the​ group,​ 16 were due to​ suicide or​ ​Drug​ overdose,​ according to​ the​ University of​ Pittsburgh researchers who reviewed the​ data. About three cases of​ suicides should have occurred in​ the​ group based on​ the​ suicide rate in​ the​ general population,​ the​ study authors say. Even more disturbing is​ the​ fact that another 14 of​ the​ ​Drug​ overdose cases that were reported are likely to​ include some suicides,​ suggesting that the​ real suicide rate was even higher. There is​ a​ substantial excess of​ suicide deaths,​ even excluding those listed only as​ ​Drug​ overdose,​’ the​ researchers noted.
The New England Journal of​ Medicine reported last August 2018 about a​ review of​ nearly 10,​000 bariatric surgery patients by Utah researchers,​ who compared them to​ a​ control group of​ obese people who had applied for a​ state driver’s license. Although these surgery patients had a​ 50% lower risk of​ dying from disease compared to​ obese people who hadn’t undergone surgery,​ their risk of​ dying in​ an accident or​ suicide was 11. 1 per 10,​000 people. That statistics is​ 58% higher than the​ 6. 4 per 10,​000 rate in​ the​ obese group. the​ study revealed that the​ suicide risk was twice as​ high for surgery patients than for those who had not had surgery,​ though the​ finding wasn’t statistically meaningful.
Experts are clueless as​ to​ why bariatric surgery patients seem to​ be at​ higher risk for killing themselves. Some research suggests a​ connection between obesity and depression,​ that is​ why the​ typical surgery patient may already be at​ higher risk for depression and suicide even before the​ operation. There is​ a​ great possibility that depressive symptoms may worsen in​ patients who have unrealistic expectations about the​ results of​ surgery,​ or​ who struggle not to​ regain weight after the​ procedure.
The Pennsylvania case review reveals that there is​ already a​ 7 percent death rate from suicide and ​Drug​ overdose signals the​ need for better mental health followup for patients who have undergone weightloss surgery. Although many weightloss surgery programs require psychological evaluation prior to​ the​ procedure,​ most doctors seem lenient about making followups after the​ surgery,​ as​ well as​ patients who prefer to​ disregard followup counseling.




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